North Star Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

29827 Issued in MN

Legal business name

NORTH STAR HEALTH SERVICES LLC

Practice address

8200 Humboldt Ave S
Suite 3109
Bloomington, MN 55431-1433

Phone

(612) 414-0689

NPI assigned

Jan 31, 2014

Last updated

Jan 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sultan Mohamed Amand

Title

President

Phone

(612) 414-0689

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1255754990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "address_2": "SUITE 3109",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311433",
            "telephone_number": "612-414-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "address_2": "SUITE 3109",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311433",
            "telephone_number": "612-414-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "AMAND",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-414-0689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "29827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE FACILITY ID",
            "identifier": "29827",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.